Rockridge Child Psych

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROCKRIDGE CHILD PSYCH

Practice address

3030 Ashby Ave
Berkeley, CA 94705-2453

Phone

(510) 213-8866

NPI assigned

Mar 19, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evan Trager, MDNPI 1821484718

Title

MD

Phone

(510) 213-8866

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Joshua Trager, MD

  • Child & Adolescent Psychiatry Physician
  • San Jose, CA
  • NPI 1821484718
  NPD Authorized official
• Catalina Martinez

  • Health & Wellness Coach
  • Berkeley, CA
  • NPI 1013776145
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1487414512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5685 KEITH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181542",
            "telephone_number": "510-213-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 ASHBY AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052453",
            "telephone_number": "510-213-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKRIDGE CHILD PSYCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "TRAGER",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "510-213-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S. Robinson, MFT
• Victoria Julianne Roca, LMFT
• Mary L Roche, PHD.
• Patricia Rochester Rochette, D.O.
• Adam Rochmes, PH.D.
• Anne T Rockwood, LMSW
• Susan Lynn Rode, RN, LCSW
• Leanna Rodgers
• Catarina Maria Rodrigues, MS,MFT
• Wendy G Rodrigues

• Psychiatry Physician in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.